Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11314 | Date 27/03/2024 |
| Token No | SM/22-23/15422 27/03/2024 | Serial | 002 |
| Patient Name | Miss SHREOSI BASU RAY | Contact No | 8910249238 |
| Address | 87 G T ROAD SIRISHTALA | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||